NPI | 1295724375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13768) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200650051NP) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2024-10-07 |